HomeMy WebLinkAbout010346 - Plumbing (replace water heater) CITY OF OSHKOSH No 10346
` PERMIT — APPLICATION AND RECORD
TYPE: BLDG ❑ HTG ❑ ELEC ❑ PLBG S., SIGN ZONING FLOOD PLAIN HEIGHT
ADDRESS / S 33 /�/ 7' G414/76?"- PLAN NO.
OWNER , (3,.. L-C/ -/ 144
DESIGNER ✓
USE/NATURE OF WORK ,/^r- Q'GC" (--(1627 C'— c 2 7‘.-
BUILDING CONTRACTOR
Size Sq. Ft. # Rooms # Stories Height
Foundation Class of Const. Occupancy Permit
HEATING CONTRACTOR
Heat ❑ A/C ❑ Vent ❑ Fuel/System Heat Loss BTU'S
ELECTRIC CONTRACTOR
Electric Serv. New ❑ Change ❑ Temp ❑ Type Volts Amps
Fixtures Switches Receptacles Circuits
PLUMBING CONTRACTOR U /26.2/rp
BT WH Disp WSoft CBasin
Lay Sh DW DF San. Sewer
WC FDr SP Ur Storm Sewer
Sink LTub Eject SS Water
Other
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FEES: Valuation $ Permit Fee Paid $ ) Park Dedication $
ISSUED BY -4-<,--a--7// Date Final/O.P.
In the performance of this work I agree to perform all work pursuant to rules governing the described construction.
SIGNATURE e . -�
AGENT/OWNER DATE
ADDRESS
TELEPHONE#